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The effect of dietetic counseling combined with digital tools intervention on hemodynamic markers in Greek adults:

Rafaela Makri1, Iliana Evangelou2, Maria Vlachava2

  • 1Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El. Venizelou Ave, 17671, Athens, Greece.

Nutrition, Metabolism, and Cardiovascular Diseases : NMCD
|June 2, 2026
PubMed

Insights

Dietary lifestyle interventions improved cardiometabolic health in older adults. While digital tools showed limited added benefit, weight loss was key for hemodynamic improvements, reducing hypertension risk.

Area of Science:

  • Cardiovascular disease research
  • Metabolic syndrome studies
  • Digital health interventions

Background:

  • Hypertension is a major global cardiovascular risk factor.
  • Lifestyle interventions are crucial for hypertension management.
  • mHealth technologies offer potential but require clinical validation.

Purpose of the Study:

  • To assess if dietetic counseling combined with digital tools improves hemodynamic markers.
  • To evaluate outcomes in adults aged 55+ with increased cardiometabolic risk.

Main Methods:

  • A 3-month randomized controlled trial (NCT05031299) with 954 adults.
  • Three groups: Standard Care, Platform (counseling + web), Platform + Devices (counseling + web + wearables).
  • Analysis included anthropometrics, blood pressure, and pulse wave velocity using mixed-effects models.

Main Results:

  • All groups showed improvements in waist circumference and systolic blood pressure.
  • The Platform + Devices group had greater increases in physical activity.
  • Weight loss was significantly associated with reduced hypertension odds and improved pulse pressure.

Conclusions:

  • Dietary lifestyle intervention effectively improved cardiometabolic outcomes.
  • Digital tools provided limited additional benefit beyond standard care.
  • Weight loss emerged as the primary driver for hemodynamic improvements.
Abstract

Keywords:
Arterial stiffnessDietetic counselingDigital toolsGATEKEEPERHemodynamicsHypertensionLifestyle interventionMetabolic syndromePulse pressurePulse wave velocitymHealth

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